Mariam Hesham Sallam, Marwa Shafiek Mustafa Saleh, Haidy Samy, Mazen Mohamed Sayed, Hadel Hesham Elkhodary, Mariam Ismail Hassan, Esraa Mohamed Mosaid, Maryam Jalal Abdelrahman, Eman Mohamed Abdelwahab, Abdelrahman Fouad Elshafey, Abeer Gomaa Mohamed, Yasmin Ahmed Baioumy, Farah Tarek Hamouda, Bashayer Awad AlHarthy, Ahmed Ibrahim Abdelhamed
{"title":"Extracorporeal shock wave therapy versus Kinesio taping in treating musculoskeletal disorders: A GRADE-assessed systematic review and meta-analysis.","authors":"Mariam Hesham Sallam, Marwa Shafiek Mustafa Saleh, Haidy Samy, Mazen Mohamed Sayed, Hadel Hesham Elkhodary, Mariam Ismail Hassan, Esraa Mohamed Mosaid, Maryam Jalal Abdelrahman, Eman Mohamed Abdelwahab, Abdelrahman Fouad Elshafey, Abeer Gomaa Mohamed, Yasmin Ahmed Baioumy, Farah Tarek Hamouda, Bashayer Awad AlHarthy, Ahmed Ibrahim Abdelhamed","doi":"10.1177/10538127251384096","DOIUrl":"https://doi.org/10.1177/10538127251384096","url":null,"abstract":"<p><p>BackgroundExtracorporeal shock wave therapy (ESWT) and Kinesio taping (KT) are used for musculoskeletal disorders (MSKDs). Despite limited supporting evidence and misalignment with contemporary rehabilitation approaches, they endure in practice to relieve pain and enhance function; however, their comparative effectiveness remains uncertain.ObjectivesThis systematic review aimed to compare the effects of ESWT versus KT on pain, functionality, strength, and quality of life (Qol) in individuals with MSKDs<b>.</b>MethodsSystematic searches of randomized clinical trials (RCTs) were performed across six databases from inception to June 2025. Two researchers independently screened titles, abstracts, and full-text articles. Risk of bias was assessed using the revised Cochrane Collaboration tool (RoB 2.0). Meta-analysis was conducted using RevMan 5.4 software, and the certainty of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach.ResultsFifteen RCTs (n = 907) were included. Comparative analysis revealed no statistically significant difference between ESWT and KT in improving pain 0.12 (95% CI: -0.17, 0. 41, p = 0.41), function 0.04 (95% CI: -0.43, 0.51; P = 0.86), strength 0.68 (95% CI: -7.46, 8.81; P = 0.87), or Qol (P >> 0.05) in the short-term. However, medium-term favored ESWT in pain -1.15 (95% CI: -1.52, -0.78, p < 0.00001) and function -0.89 (95% CI: -1.35, -0.42; P = 0.0002) over KT. The certainty of evidence for all outcomes was very low.ConclusionsVery low-quality evidence indicates no difference between ESWT and KT in improving pain, function, strength, and Qol in patients with MSKDs in the short-term, with a possible medium-term advantage for ESWT in improving pain and function. Our findings should be placed within the context of limited and geographically narrow evidence. High-quality, long-term RCTs are warranted.<b>Other:</b> No funding was received for this review. PROSPERO registration number (CRD42024559635).</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251384096"},"PeriodicalIF":1.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandre Nunes, João Miguel, Kristian Kjær-Staal Petersen, Lars Arendt-Nielsen, Margarida Espanha
{"title":"Comparison of upper and lower trapezius muscle strength in female office workers with and without chronic neck pain.","authors":"Alexandre Nunes, João Miguel, Kristian Kjær-Staal Petersen, Lars Arendt-Nielsen, Margarida Espanha","doi":"10.1177/10538127251380068","DOIUrl":"https://doi.org/10.1177/10538127251380068","url":null,"abstract":"<p><p>BackgroundIn chronic pain patients, pain sensitivity and maximum voluntary contraction (MVC), a measure of muscle strength, are often impaired and related to the pain intensity. Therefore, this study aimed to assess MVC, pain sensitivity, and the potential association with pain intensity.MethodsA cross-sectional observational and analytic study with 133 female office workers was conducted, including both asymptomatic controls and those with chronic neck pain. The workers with chronic pain were categorized into pain conditions (chronic trapezius myalgia and chronic non-specific neck pain) and pain intensity groups, as mild pain (Visual analogue scale (VAS ≤ 3) and moderate pain (VAS > 3) groups. A handheld dynamometer was used to measure MVC at the upper trapezius (UT) and lower trapezius (LT). Pressure pain threshold (PPT) and temporal summation of pain (TSP) were assessed as measures of pain sensitivity.ResultsThe chronic trapezius myalgia group (n = 49) had a significantly decreased UT MVC [<i>F</i> (2128) = 4.099, <i>p</i> = 0.019] and LT MVC [<i>F</i> (2128) = 3.511, <i>p</i> = 0.033]. The moderate pain group (n = 43) had a significantly decreased UT MVC [<i>F</i> (2128) = 5.507, <i>p</i> = 0.005], and LT MVC [<i>F</i> (2128) = 4.119, <i>p</i> = .018]. Pain intensity, UT/LT ratio explained 19.4% of the variability in LT MVC, plus PPT explained 19.3% in UT MVC.ConclusionFemale office workers with CNP classified as moderate pain intensity and chronic trapezius myalgia had significantly decreased MVC in the UT and LT than the other groups. Pain intensity, decreased PPT in tibialis anterior, and the UT/LT ratio provide a limited explanation for muscle strength variability.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251380068"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sang-Gil Lee, Han-Soo Park, Tuğba Kuru Çolak, Jin-Ho Yoon, Jae-Keun Oh
{"title":"Preliminary effects of bracing and the Schroth method on adolescent idiopathic scoliosis with low Risser grade: A randomized controlled trial.","authors":"Sang-Gil Lee, Han-Soo Park, Tuğba Kuru Çolak, Jin-Ho Yoon, Jae-Keun Oh","doi":"10.1177/10538127251382688","DOIUrl":"https://doi.org/10.1177/10538127251382688","url":null,"abstract":"<p><p>ObjectiveTo evaluate the combined effects of bracing and the Schroth method on spinal deformity, thoracic mobility, and pulmonary function in adolescents with low Risser grade adolescent idiopathic scoliosis (AIS).MethodsThis prospective, randomized, double-blind, controlled trial included 42 adolescents with low Risser grade AIS. Patients were randomly assigned to three groups: combined (CG), bracing-only (BG), and Schroth-only, and were assessed at baseline, 6 weeks, and 12 weeks. The primary outcomes were the Cobb angle and angle of trunk rotation (ATR). Secondary outcomes included thoracic spine mobility, chest expansion, and pulmonary function, which were measured using forced vital capacity and forced expiratory volume in 1 s.ResultsAll groups showed significant improvements, with CG and BG achieving greater Cobb angle reduction and CG showing superior ATR improvement. CG also exhibited the greatest gains in thoracic mobility and chest expansion. Pulmonary function improved within groups, but no between-group differences were noted.ConclusionBracing combined with the Schroth method was more effective than either intervention alone in mitigating spinal curvature and enhancing thoracic mobility in adolescents with low Risser grade AIS. These combined therapeutic approaches can curb curve progression and optimize functional outcomes in high-risk patients with AIS.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251382688"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of neurodynamic treatment on hamstring flexibility: A systematic review and meta-analysis of randomized controlled trials.","authors":"Paolo Bertacchini, Matteo Gaucci, Angela Contri","doi":"10.1177/10538127251372333","DOIUrl":"https://doi.org/10.1177/10538127251372333","url":null,"abstract":"<p><p>ObjectiveTo evaluate the effectiveness of neurodynamic (ND) techniques in improving hamstring flexibility compared to other physiotherapeutic interventions or no treatment and to assess the relative efficacy among different ND techniques (sliders vs. tensioners).MethodsA systematic search was conducted across six databases and grey literature up to July 2024. Randomized controlled trials (RCTs) involving adults (≥18 years) with reduced hamstring flexibility, but without neurological or musculoskeletal conditions were included. Studies comparing ND techniques (e.g., sliders, tensioners) to static stretching, proprioceptive neuromuscular facilitation (PNF), or no treatment were eligible. Primary outcomes were hamstring flexibility measured via passive straight leg raise (pSLR) and active knee extension (aKE). Risk of bias was assessed using the Cochrane RoB 2.0 tool and PEDro scale. Meta-analyses used random-effects models; evidence certainty was rated with GRADE.ResultsThirty RCTs (1379 participants) were included, with 19 analyzed quantitatively. ND techniques significantly improved hamstring flexibility over static stretching (mean difference [MD]: 3.48° for pSLR, 95% CI: 1.14-5.82; 3.78° for aKE, 95% CI: 0.43-7.12) and no treatment (pSLR MD: 9.44°, 95% CI: 6.74-12.14). Sliders were marginally superior to tensioners (aKE MD: 1.14°, 95% CI: 0.58-1.71). PNF outperformed ND in aKE (MD: -3.07°, 95% CI: -4.07 to -2.06), though evidence certainty was low.ConclusionND techniques, particularly sliders, enhance hamstring flexibility, supporting their clinical use. However, high heterogeneity and risk of bias in included studies necessitate cautious interpretation. Future research should standardize protocols and assess long-term effects.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251372333"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Omid Shahani, Ali Shamsi Majelan, Nahid Khoshraftar Yazdi
{"title":"Advancing postural stability in athletes with chronic ankle instability through visual biofeedback-based proprioceptive training.","authors":"Omid Shahani, Ali Shamsi Majelan, Nahid Khoshraftar Yazdi","doi":"10.1177/10538127251379798","DOIUrl":"https://doi.org/10.1177/10538127251379798","url":null,"abstract":"<p><p>BackgroundBiofeedback is a rehabilitation method used to improve the effects of various complications. This study aimed to evaluate the effectiveness of combining proprioceptive training and visual biofeedback compared to proprioceptive training in improving the Postural control and performance of athletes with chronic ankle instability.Materials and MethodsThirty male athletes between 20 and 25 were randomly divided into two experimental groups. The training program consisted of 24 sessions. The first group performed proprioception training with visual biofeedback in front of a mirror, while the second group performed the training conventionally without a mirror. Assessments included the evaluation of displacement range of the center of pressure, the time to stability (TTS), functional tests of side hop, figure of 8 hop test, 6-meter crossover hop and triple hop test.ResultsThe results obtained show that the differences between the two groups were only significant in the variables TTS (M-L) (<i>p</i> = 0.04), figure-8 hop test (<i>p</i> = 0.033) and 6-meter crossover hop test (<i>p</i> = 0.011), and no significant difference was observed between the two groups in the other measured variables (<i>p = </i>0.05).ConclusionUtilizing a combination of exercises in the rehabilitation process can be highly effective and efficient, encouraging individuals to engage more actively in their exercises.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251379798"},"PeriodicalIF":1.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of the performance of different anthropometric indicators, malnutrition, and sarcopenia for poststroke frailty in ischemic stroke.","authors":"Ai-Jie Tang, Hong-Yan Yang, Qian Wu, Wen-Xue Chen, Shuang-Hua Huang, Chun-Mei Xu, Dong-Xia Xu, Xiao-Hong Shi, Min Hu, Yu-Hua Xu","doi":"10.1177/10538127251382393","DOIUrl":"https://doi.org/10.1177/10538127251382393","url":null,"abstract":"<p><p>ObjectiveThis study explored the correlation between different nutritional indicators and poststroke frailty (PSF), and compared the receiver operating characteristic curve of different nutritional indexes for PSF.MethodsThis cross-sectional study enrolled 266 adults with acute ischemic stroke. Frailty was assessed using the FRAIL scale. Nutritional status was assessed using Mini Nutritional Assessment Short Form (MNA-SF) and Nutritional Risk Screening 2002 (NRS2002); sarcopenia risk was evaluated by SARC-F. Anthropometric measures included Body Mass Index (BMI), Handgrip Strength (HGS), Triceps Skinfold Thickness (TST), Mid-Upper Arm Circumference (MUAC), Calf Circumference (CC), Weight-Adjusted Waist Index (WWI), and 4-Meter Walk Test (4-MWT). Logistic regression analysis was performed to analyze factors related to PSF, and receiver operating characteristic curve analysis was also used to compare the performance of these variables.ResultsThe frailty group (n = 89) had significantly lower values for HGS, 4-MWT speed, TST, MUAC, CC, albumin, and MNA-SF, but higher SARC-F and NRS2002 scores (all P < 0.05). Four indicators showed AUC > 0.65: MNA-SF (AUC = 0.70), SARC-F (AUC = 0.67), CC (AUC = 0.67), TST (AUC = 0.66). In elderly patients (≥65 years, n = 134), CC achieved the highest AUC (0.71). Logistic regression in separate models (each adjusted for age, gender, ADL, NIHSS, and stroke history) showed that higher MNA-SF, CC, TST, and 4-MWT as protective factors, while elevated SARC-F and NRS2002 were risk factors (all P < 0.05).ConclusionsMNA-SF, SARC-F, and CC are effective PSF predictors, with CC optimal in elderly patients. Integrating these tools could optimize frailty risk stratification, guiding targeted nutrition/resistance training to mitigate post-stroke frailty.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251382393"},"PeriodicalIF":1.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sedat Yigit, Halil İbrahim Ergen, Tuba Maden, Kübra Coşkun, Mehmet Vakıf Keskinbıçkı, Corey W McGee
{"title":"Cross-cultural adaptation, validity, and reliability of the Turkish version of the trapeziometacarpal arthrosis symptoms and disability questionnaire.","authors":"Sedat Yigit, Halil İbrahim Ergen, Tuba Maden, Kübra Coşkun, Mehmet Vakıf Keskinbıçkı, Corey W McGee","doi":"10.1177/10538127251381921","DOIUrl":"https://doi.org/10.1177/10538127251381921","url":null,"abstract":"<p><p>BackgroundThe Trapeziometacarpal Arthrosis Symptoms and Disability questionnaire (TASD) is widely used to assess symptoms and disability associated with trapeziometacarpal (TMC) arthrosis.ObjectiveTo adapt the TASD into Turkish (TASD-TR) and evaluate its reliability and validity.MethodsForty-one patients with TMC arthrosis were included in the study. Thumb function was assessed using the TASD-TR and the Thumb Disability Examination (TDX). Pain intensity was rated using the Visual Analogue Scale (VAS). Power grip strength (PGS) and pinch strength (PS) were measured using the Jamar Hydraulic Hand Dynamometer and Jamar Pinch Gauge, respectively.ResultsThe TASD-TR demonstrated good test-retest reliability and internal consistency (Cronbach's alpha = 0.786-0.859; Intraclass Correlation Coefficient (ICC) = 0.844). TASD-TR Total score showed a high correlation with TDX Total score (r = 0.706) but weak correlations with PGS (r = -0.342), PS (r = -0.290), and VAS (r = 0.373) scores. The TASD-TR Disability subscale was highly correlated with both TDX Total (r = 0.882) and TDX-ADL (r = 0.877) scores, and the TASD-TR Symptoms subscale was moderately correlated with TDX Pain score (r = 0.508).ConclusionThe TASD-TR is a reliable and valid tool for assessing thumb symptoms and function in Turkish-speaking patients with TMC arthrosis.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251381921"},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145175450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Musculoskeletal pain and psychological flourishing among Saudi male gamers: The role of physical activity and gaming status.","authors":"Samiah Alqabbani","doi":"10.1177/10538127251381072","DOIUrl":"https://doi.org/10.1177/10538127251381072","url":null,"abstract":"<p><p>BackgroundGamers are increasingly at risk for musculoskeletal (MSK) pain due to prolonged screen exposure and poor posture. However, the relationship between MSK pain and psychological flourishing remains underexplored.ObjectiveTo (1) assess the prevalence and distribution of upper body and back MSK pain among Saudi gamers, (2) examine the effects of age, gaming status, physical activity, and gaming exposure on pain prevalence, and (3) explore the association between MSK pain and psychological flourishing.MethodsA cross-sectional survey was conducted among 428 male gamers in Saudi Arabia, categorized as professional or casual. Validated instruments assessed MSK pain (Extended Nordic Musculoskeletal Questionnaire), physical activity levels, gaming patterns, and flourishing (Flourishing Scale). Statistical analyses included chi-square tests, Mann-Whitney U tests, binary logistic regression, and a bootstrapped Generalized Linear Model (GLM).ResultsMSK pain affected 71.0% of participants, with the neck and lower back most commonly reported. Casual gamers had significantly higher pain prevalence than professionals. Vigorous physical activity was associated with lower odds of neck and shoulder pain. Binary logistic regression identified physical activity as the only consistent predictor of reduced pain, while gaming exposure and age were not significant. No significant association was found between MSK pain and psychological flourishing in bivariate or multivariable models.ConclusionMSK pain is common among Saudi gamers, particularly casual players. Regular physical activity may reduce pain risk and should be encouraged among gamers. Psychological flourishing appeared unaffected by MSK pain or gaming status, suggesting other factors may influence well-being in this population.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251381072"},"PeriodicalIF":1.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145175552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liu Ziqing, Cao He, Li Zhangjie, Yu Qiangqiang, Sang Lan, Duan Chaoyang
{"title":"Effects of cervico-lumbar combination manual therapy in patients with cervical radiculopathy : A randomized controlled pilot trial.","authors":"Liu Ziqing, Cao He, Li Zhangjie, Yu Qiangqiang, Sang Lan, Duan Chaoyang","doi":"10.1177/10538127251381073","DOIUrl":"https://doi.org/10.1177/10538127251381073","url":null,"abstract":"<p><p>BackgroundCervical radiculopathy (CR) is an important public health issue worldwide. Manual therapy is a valid treatment option for CR.ObjectiveThe aim of this study was to investigate the efficacy of the cervico-lumbar combination manual therapy in patients with CR.Methods47 participants were recruited and randomly divided into Group A (n = 25) and Group B (n = 22) using random number table method. Group A received both cervical and lumbar mobilization, while Group B only received cervical mobilization. The experiment conducted 12 sessions over four weeks. Neck Disability Index (NDI), Visual Analog Scale (VAS), and cervical range of motion (ROM) were measured pre and post the experiment.ResultsThere was no significant difference in baseline indicators between the two groups pre the experiment (P > . 05). Four weeks later, compared pre and post within the group, both groups showed improvement in NDI, VAS, and ROM (P < . 05), with Group A showing slightly higher improvement in various indicators than Group B; Compared between groups, Group B showed significant improvements in flexion [mean difference 2.47; 95% confidence interval: 0.20 to 4.74, t = 2.19, P = 0.033], extension [2.76; 0.94 to 4.57, t = 3.06, P = 0.004], left flexion [3.12; 1.45 to 4.80, t = 3.75, P < 0.00], right flexion [3.08; 1.43 to 4.74, t = 3.76, P < 0.00], while NDI, VAS, left rotation, and right rotation ROM did not show significant differences (P > . 05).ConclusionsCervico-lumbar combination mobilization therapy can improve flexion, extension, left and right flexion ROM in patients with CR, and the improvement in cervical dysfunction and pain were not superior to cervical mobilization alone. The cervico-lumbar combination therapy provides a new perspective for manual therapists and is expected to attract the attention of clinical practitioners. Further clinical studies are needed in the future to confirm the actual impact of combination manual therapy on the symptoms and signs of the CR population.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251381073"},"PeriodicalIF":1.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hamiyet Yuce, Sule Kecelioglu, Burcin Akcay, Fatma Nur Yilmaz
{"title":"Effects of basic body awareness therapy via hybrid telerehabilitation on musculoskeletal and psychological symptoms in university students: A single-blind randomized controlled trial.","authors":"Hamiyet Yuce, Sule Kecelioglu, Burcin Akcay, Fatma Nur Yilmaz","doi":"10.1177/10538127251378088","DOIUrl":"https://doi.org/10.1177/10538127251378088","url":null,"abstract":"<p><p>BackgroundBasic Body Awareness Therapy (BBAT), a mind-body modality, is known for its positive effects on physical and psychological health.ObjectiveTo assess the role of BBAT via hybrid telerehabilitation on musculoskeletal and psychological symptoms in university students.MethodsInvolving 60 university student volunteers, a single-blind, randomized controlled trial was conducted. The students were categorized into two groups with equal participants: BBAT and Control Group. An Information Workshop was held for both groups. Additionally, the BBAT Group practiced BBAT sessions once a week for 12 weeks, face-to-face during the first 6 weeks and online for the following 6 weeks. Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) for musculoskeletal symptoms and Brief Symptom Inventory 53-items (BSI-53) for psychological symptoms were applied at baseline and after 12 weeks.ResultsThe BBAT Group demonstrated a significant improvement in Total CMDQ, CMDQ left upper arm and lower back body parts, Total BSI-53, BSI-53 hostility subscale, and Global Severity Index (p = 0.018, r = 0.31; p = 0.011, r = 0.33; p = 0.019, r = 0.30; p = 0.033, r = 0.28; p = 0.036, η2 = 0.074; p = 0.033, r = 0.28, respectively) compared to the Control Group.ConclusionBBAT via hybrid telerehabilitation has been found to positively affect musculoskeletal and psychological symptoms, and studies comparing online, face-to-face, and hybrid BBAT in clinical practice are recommended.<b>Clinical Trial Number:</b> The Effect of Basic Body Awareness Therapy on Musculoskeletal Disorders and Psychological Symptoms, https://clinicaltrials.gov/study/NCT05302453?cond=NCT05302453&rank=1, NCT05302453.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127251378088"},"PeriodicalIF":1.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145149175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}